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流行性出血热(EHF)是一种全身性出血性疾病,除肾脏损害外,还可有心、脑、肺、肝等脏器的损害。国内外报道均以肾损害为主,有关肝脏损害的报道较少见。莆田为 EHF 新发疫区。我科自1986年以来收治了22例 EHF 患者,发现肝功损害较普遍,个别病例严重,报告如下。病例资料分析一、22例均经省、市防疫站用间接荧光抗体法(IFAT)检测 EHF 特异性抗体免疫球蛋 G(IgG)后确诊。其中早、晚期双份血清呈4倍以上增长者13例,单份血清结果>1:320者9例。按1981年全国EHF 防治方案(试行)进行诊断与分型。其中男性17例、女性5例,年龄在17～70岁,危重型1例,重型9例,中型5例,轻型7例。
Epidemic hemorrhagic fever (EHF) is a systemic hemorrhagic disease, in addition to kidney damage, but also heart, brain, lung, liver and other organs damage. Domestic and foreign reports are mainly kidney damage, the reports of liver damage is rare. Putian EHF newly-infected area. Since 1986, our department admitted 22 cases of EHF patients, found that liver damage is more common, some serious cases, the report is as follows. Case data analysis First, 22 cases were confirmed by the method of indirect fluorescent antibody (IFAT) detection of EHF-specific immunoglobulin G (IgG) by provincial and municipal epidemic prevention stations. Among them, early and late double serum showed more than 4 times growth in 13 cases, single serum results> 1: 320 in 9 cases. According to the 1981 national EHF prevention and treatment program (for trial implementation) for diagnosis and classification. There were 17 males and 5 females, aged from 17 to 70 years old, one with severe type, nine with severe type, five with moderate type and seven with mild type.